Order Form

Enter the information below to place an order or call 866-374-BROP (2767). (For payment by check or money order, fill in order form, print and mail in with payment to address at bottom of form.) To pay by credit card, fill in information below; and submit. We will call you for credit card information if you'd like.

Please provide the following Contact Information:

First Name

Last Name

Billing Address

Address (cont.)

City and County

State/Province

Zip/Postal Code

Country

Home Phone

E-mail
SHIPPING (if different from above)

Ship to

Mailing Address (Priority Mail)

Address (cont.)

City and County

State/Province

Zip/PostalCode

Country

Please provide the following ordering information:

QTY	DESCRIPTION	Price	Ext.
	Bear Crazy dvd	$14.00
	Bear Crazy 2 dvd	$14.00
	Bear Crazy 3 dvd	$14.00
	Bear Crazy 4 dvd	$14.00
	NEW!Bear Crazy 5 dvd	$17.00
	Boar Crazy dvd	$14.00
	GOOD DEAL Bear Crazy, 2, 3, 4, 5 dvd	$65.00
	BEST DEAL Bear Crazy, 2, 3, 4, 5, and Boar Crazy dvd	$75.00
	Shipping	$5.00	$5.00
	Subtotal
	Tax (NC Res. add 6.75%, except 7% in Alexander, Catawba, Martin, Pitt, Sampson, Surry, and 7.25% in Mecklenburg)
	Order Total

Send check or money order to Blue Ridge Outdoor Productions, Inc. 508 Cox Ford Rd., Ararat, NC 27007.

If paying by credit card

Enter Credit Card #
Enter CV#
Exp. Date (MM/YY)
Name on Card

First Name
Last Name
Billing Address
Address (cont.)
City and County
State/Province
Zip/Postal Code
Country
Home Phone
E-mail

	SHIPPING (if different from above)
Ship to
Mailing Address (Priority Mail)
Address (cont.)
City and County
State/Province
Zip/PostalCode
Country

Order Form

Copyright © 2007 [BROP, INC.] All rights reserved. Revised: 05/13/08

Copyright © 2007 [BROP, INC.] All rights reserved.
Revised: 05/13/08